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Version 1.0
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16/12/2020
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First version
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Version 1.1
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25/01/2021
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Inclusion of new section 6.2.4 'Discontinuing IPC precautions in care homes for residents who are COVID-19 positive'
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Version 1.2
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31/03/2021
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6.1.2 Definition of suspected case; Additional information and links included.
6.1.3 Triaging of residents being admitted to a care home. International travel isolation changed to reflect current guidance
6.2 Resident Placement/Assessment of Infection Risk section updated.
6.2.4 Stepdown table renamed (Discontinuation of IPC) to be consistent with Acute Addendum. Discontinuing IPC precautions in care homes for residents who are COVID-19 positive information clarified. Residents discharged from hospital to care homes – additional information included to clarify 14 day isolation requirements.
6.2.4 Links have been removed that are no longer available.
6.2.5 Residents returning from overnight stay included
6.5 Additional information included on PPE & link to hierarchy of control.
6.5.1 New FRSM poster (ways to improve fit) link included
6.5.2 Face masks for residents, additional advice on wearing masks when moving around the care home
6.5.3 Table 2 PPE for direct resident care determined by risk category. Update to PPE guidance specifically in relation to visors.
6.5.4 PPE – Putting on (Donning) and Taking off (Doffing) further detailed information included
6.5.5 Aerosol Generating procedures (AGPs) Additional information added under table on requirements for respirators/fluid resistant requirement.
6.5.8 Additional section added on delivery of COVID-19 vaccinations.
6.7 Safe Management of the Care Environment. Additional detail provided where items cannot stand application of chlorine releasing agents. Also additional information if an organisation adopts practices that differ from those recommended/stated.
6.8 Wording amended to clarify linen categorisation where no outbreak.
6.10 Safe disposal of waste. Wording amended to provide clarity.
6.11.2 Engineering and Administration control measures added.
6.12 New section on hierarchy of controls
6.14 Visiting in care homes updated following publication of ‘Open with Care’
6.16 Resources and Tools section updated.
6.17 Rapid reviews section added
6.18 Education resources added.
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Version 1.3
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8 July 2021
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6.1.3 Triaging of residents admitted to a care home updated with changes to testing and self-isolation
6.2.4 - Discontinuing IPC Precautions in Care Homes for residents who are COVID-19 positive
Updated with clarification on self isolation in certain circumstances.
Admission of individuals to the care home: section has been updated with changes to testing and self-isolation in certain circumstances.
Table 1 Discontinuation of IPC Requirements for care homes (COVID-19 positive) Requirements on Admission of COVID-19 recovered residents from hospital: discharge updated.
Residents/patients discharged from hospital to care homes (non-COVID-19) added to provide advice for self isolation requirements upon admission.
6.5.3 Update to PPE table to emphasise Risk Assessment in medium risk pathway
6.5.5 Addition of risk associated with valved respirators
6.6, 6.7 Change in controls for environmental and care equipment cleaning from TBPs to SICPs within the Medium Risk category.
6.8, 6.9 Clarification on the safe management of linen and waste.
6.11.2 Engineering and administration controls section deleted and incorporated into 6.12 Hierarchy of Controls
6.14 Visiting - amended to reflect the collection of guidance available.
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Version 1.4
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31/08/2021
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Updates to physical distancing
Inclusion of risk associated with powered air purifying respirator (PAPR) when undertaking a sterile procedure.
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29/11/2021
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Replaced by Version 1.0 of the Respiratory Addendum
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